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The party drug and anesthetic ketamine is starting to show promise in trials as a treatment for depression. But new research also suggests that hundreds of U.S. clinics may be misleading consumers, hawking off-label and unapproved ketamine to treat a variety of mental health and pain conditions. “These are expensive treatments for which patients generally must pay out of pocket and the evidence base is often not robust for many of the advertised uses,” said co-lead study author Michael DiStefano, an assistant professor in the department of clinical pharmacy at Colorado University’s Skaggs School of Pharmacy. “It is important that people considering these treatments are provided with an accurate and balanced statement of the possible risks and benefits.” In the study published Nov. 7 in the journal JAMA Network Open, the researchers noted that ketamine delivered intravenously is not yet approved by the U.S. Food and Drug Administration to treat any mental health condition, but it is sometimes used off-label for such use. Ketamine in pill form isn’t approved to treat anything, either, but is often advertised to produce a hallucinogenic experience at home, the researchers said. Using six national ketamine databases, DiStefano’s team tracked how ketamine is being sold. They identified online direct-to-consumer ketamine advertisers who had websites plus at least one clinic in Maryland. The researchers found 17 advertisers operating across 26 locations…  read on >  read on >

MONDAY, Nov. 13, 2023 — In an unexpected finding, new research suggests that antibodies arising from common food allergies may also raise risks for heart trouble. These IgE antibodies didn’t even have to be present in quantities high enough to produce an actual food allergy to have this unhealthy effect on the heart, noted a team from the University of Virginia Health (UVA) System, in Charlottesville. “What we looked at here was the presence of IgE antibodies to food that were detected in blood samples,” researcher Dr. Jeffrey Wilson said in a UVA news release. “We don’t think most of these subjects actually had overt food allergy, thus our story is more about an otherwise silent immune response to food.” “While these responses may not be strong enough to cause acute allergic reactions to food, they might nonetheless cause inflammation and over time lead to problems like heart disease,” said Wilson, an allergy and immunology expert at the UVA School of Medicine. All of this could mean trouble for a large swath of the population: According to the researchers, about 15% of adults produce IgE antibodies in response to cow’s milk, peanuts and other foods. Not everyone who produces the antibodies will have a symptomatic food allergy, however. In their research, Wilson’s team collected data on almost 5,400 participants involved in either a national U.S.…  read on >  read on >

The gap in life expectancy between American men and women is now the biggest it has been since the mid-1990s — almost six years. The pandemic and opioid overdoses are key factors in the gender difference in longevity, said researchers from the University of California, San Francisco (UCSF) and Harvard University T.H. Chan School of Public Health. “There’s been a lot of research into the decline in life expectancy in recent years, but no one has systematically analyzed why the gap between men and women has been widening since 2010,” said first study author Dr. Brandon Yan, a resident in internal medicine at UCSF. In 2021, the gender gap in life expectancy rose to 5.8 years, its largest since 1996, he and his colleagues report. In 2010, the gap was its smallest in recent history, 4.8 years. Life expectancy in the United States was 76.1 years in 2021. That’s down from 78.8 years in 2019 and 77 years in 2020. Researchers cited the pandemic as the biggest factor in the widening gender gap; it took a heavier toll on men. Unintentional injuries and poisonings (mostly drug overdoses), accidents and suicide were other contributors. Another factor in Americans’ shrinking lifespan: so-called “deaths of despair.” That’s a nod to the rise in deaths owing to such causes as suicide, drug use disorders and alcoholic liver disease. These…  read on >  read on >

MONDAY, Nov. 13, 2023 (Healthday News) — In a finding that could change the landscape of heart disease care, the wildly popular weight-loss drug Wegovy has proved its mettle in protecting the heart after lowering the risk of cardiac problems in patients by 20%. The results from this large, international study had been eagerly awaited by scientists and doctors alike. Why? It is the first to show that Wegovy’s therapeutic powers may extend to the cardiovascular system, helping prevent a heart attack, stroke or a heart-related death in people who already have heart disease but not diabetes. “It moves from a kind of therapy that reduces body weight to a therapy that reduces cardiovascular events,” study author Dr. Michael Lincoff, vice chairman for research in the department of cardiovascular medicine at the Cleveland Clinic, told the Associated Press. A high-dose version of the diabetes drug Ozempic, which already has been shown to lower the risk of heart problems in people who have diabetes, Wegovy seems to do the same for heart patients who don’t have the blood sugar disease. Dr. Francisco Lopez-Jimenez, a heart expert at the Mayo Clinic, told the AP that he believes the new findings will alter heart treatment guidelines and “dominate the conversation” for years to come. “This is the population who needs the medicine the most,” said Lopez-Jimenez, who wasn’t…  read on >  read on >

MONDAY, Nov. 13, 2023 (Healthday News) — Two new gene-editing treatments that target dangerously high levels of cholesterol in people with a genetic predisposition to the condition were found safe and effective in new, groundbreaking research. While powerful drugs like statins can help manage cholesterol in most people, they can’t treat those who have genes that predispose them to heart troubles. But the duo of studies, presented Sunday at the American Heart Association (AHA) annual meeting in Philadelphia, may one day change that. Both treatments will need years of additional research before the U.S. Food and Drug Administration would even consider approving them, but that didn’t dampen the excitement among heart experts. “There is no way to categorize this other than revolutionary,” Dr. Hugh Cassiere, director for critical care services at South Shore University Hospital, Northwell Cardiovascular Institute, in New York, told NBC News. He was not involved with either study. One of the treatments, from Boston-based Verve Therapeutics, uses a gene-editing approach that targets the PCSK9 gene, making a tiny change to the gene. The effect is akin to a permanent eraser, deleting the gene’s ability to fuel a rise in cholesterol levels, Verve co-founder and CEO Dr. Sekar Kathiresan told NBC News. In theory, the one-time treatment should last a lifetime. “Instead of daily pills or intermittent injections over decades to lower bad cholesterol, this…  read on >  read on >

Cutting out just one teaspoon of salt every day lowers blood pressure almost as much as medication does, new research shows. Investigators said theirs is one of the largest studies ever to include people taking high blood pressure meds in a look at the effect of reducing dietary intake of sodium. “We found that 70-75% of all people, regardless of whether they are already on blood pressure medications or not, are likely to see a reduction in their blood pressure if they lower the sodium in their diet,” said study co-author Norrina Allen, a professor of preventive medicine at Northwestern University Feinberg School of Medicine in Chicago.   She said researchers previously didn’t know if people already on blood pressure meds could lower their blood pressure even more by reducing their sodium intake. In the study, middle-aged to elderly participants reduced their salt intake by about 1 teaspoon a day.  “The result was a decline in systolic blood pressure by about 6 millimeters of mercury (mm Hg), which is comparable to the effect produced by a commonly utilized first-line medication for high blood pressure,” said co-principal investigator Dr. Deepak Gupta, an associate professor of medicine at Vanderbilt University Medical Center, in Nashville, Tenn.  Systolic blood pressure is the pressure in your arteries as your heart beats. It’s the first number in a blood pressure reading.…  read on >  read on >

Young people who smoke and have prediabetes have triple the risk of suffering a stroke, a new study shows. Overall, hospitalized tobacco users with prediabetes had a 3.3 times higher risk that they were in the hospital due to a stroke, after researchers accounted for other risk factors. The findings “warrant early screening and prevention strategies for prediabetes in young tobacco users in order to curtail their risk of stroke,” said lead researcher Dr. Advait Vasavada, a resident in family medicine at the University of Nebraska Medical Center in Omaha. Vasavada plans to present the findings at the American Heart Association (AHA) annual meeting, being held from Nov. 11-13 in Philadelphia. Findings presented at a medical meeting should be considered preliminary until published in a peer-reviewed journal. For the study, Vasavada’s research team analyzed records for more than 1 million tobacco users ages 18 to 44 who were admitted to a U.S. hospital in 2019. All the young adults included in the study were considered healthy, with no heart disease risk factors like high blood pressure, type 2 diabetes, elevated cholesterol or obesity. However, their charts showed that all were long-term tobacco users who were dependent on nicotine and had a hard time cutting back or quitting. Looking more closely, researchers found that about two out of every 1,000 also had prediabetes – elevated blood…  read on >  read on >

An experimental device that isolates blood flow to the brain has the potential to revolutionize brain research. The device redirects the brain’s blood supply through a pump that maintains or adjusts a range of variables necessary to maintain the organ, including blood pressure, temperature, oxygenation and nutrients, researchers report. When tested on a pig brain, the device maintained brain activity and health over a five-hour period, researchers at UT Southwestern Medical Center found. The device could lead to new ways to study the human brain without influence from other bodily functions, researchers said. “This novel method enables research that focuses on the brain independent of the body, allowing us to answer physiological questions in a way that has never been done,” Dr. Juan Pascual, a professor of neurology, pediatrics, and physiology at UT Southwestern, said in a medical center news release. The findings were published recently in the journal Scientific Reports. Researchers have already used the system to better understand the effects of low blood sugar in the absence of other factors. Although scientists can induce low blood sugar in lab animals by restricting food intake or dosing them with insulin, the body can compensate by altering metabolism and cloud the results. This new device allows researchers to directly alter the blood sugar pumped into the brain. The device also could lead to improvements to…  read on >  read on >

The Thanksgiving table is typically loaded down with turkey, stuffing, gravy, mashed potatoes and all kinds of pie, but nutritionists say kids should also be encouraged to eat fresh fruit and vegetables during the holiday meal. Precious few children eat enough fruits and vegetables the rest of the year, so the Academy of Nutrition and Dietetics encourages families to prepare Thanksgiving meals that incorporate cranberries, apples, pumpkins and green beans. “Simplicity is key when it comes to feeding children, especially during holidays when meals are more formal and the dishes are more dramatic,” said registered dietitian and nutritionist Amy Reed, an academy spokesperson from Cincinnati Children’s Hospital. “Instead of serving children a vegetable casserole, set out a tray of raw vegetables and fruits because many kids like things to be plain,” she suggested in an academy news release. “Offering different dips on the side allows them to customize their food and may encourage them to try something new.” But don’t be surprised if they still balk a bit. “My family loves our Thanksgiving staples of turkey and gravy, green beans, cranberry sauce and sweet potato, but we can be flexible for our young guests who might not feel the same way about our traditional feast,” said registered dietitian nutritionist Jessica Sylvester, an academy spokesperson from Boca Raton, Fla. Sylvester offered these tips for children who…  read on >  read on >

FRIDAY, Nov. 10, 2023 (Healthday News) — Two federal health agencies are investigating a salmonella outbreak linked to dog food that has sickened seven people in seven states, nearly all of them infants. On Thursday, the U.S. Food and Drug Administration announced a recall of Victor Hi-Pro Plus dry dog food, a brand tied to the outbreak, while the U.S. Centers of Disease Control and Prevention also issued a health alert advising people what to do to avoid infection. Included in the recall are several other brands of dry dog and cat food sold by the maker of Hi-Pro Plus, Mid America Pet Food. The company has voluntarily recalled all the pet food brands it manufactured with a best by date before 10/31/2024, which include Victor, Eagle Mountain, Wayne Feeds and two varieties of Member’s Mark pet foods. These products include both dog and cat foods and were sold in retail stores and online, the FDA said. Six of the seven salmonella cases involved children aged 1 or younger, the FDA noted. Five of the cases reported exposure to dogs and three reported feeding Victor pet food to their pets. One person was hospitalized, and no deaths have been reported. According to the CDC alert, those who have fallen ill were infected by touching contaminated dog food and dog bowls, or by touching the poop or saliva…  read on >  read on >